Knee laxity after complete anterior cruciate ligament tear: a prospective study over 15 years.
(2012) In Scandinavian Journal of Medicine & Science in Sports 22. p.156-163- Abstract
- There is limited knowledge of knee laxity in the long term after a complete anterior cruciate ligament (ACL) tear treated without ACL reconstruction. The aim of this study was (1) to describe the clinical course of knee laxity after a complete ACL tear over 15 years, and (2) to study the association between knee laxity and meniscal injuries and the development of knee osteoarthritis (OA). We studied 100 consecutive subjects [mean (SD) age 26 (8) years] presenting with acute ACL injury prospectively. The initial treatment in all subjects was knee rehabilitation without reconstructive surgery. The subjects were examined with Lachman's and pivot-shift tests at baseline, 6 weeks, 3 months, 1 year, 3 years and 15 years after the injury.... (More)
- There is limited knowledge of knee laxity in the long term after a complete anterior cruciate ligament (ACL) tear treated without ACL reconstruction. The aim of this study was (1) to describe the clinical course of knee laxity after a complete ACL tear over 15 years, and (2) to study the association between knee laxity and meniscal injuries and the development of knee osteoarthritis (OA). We studied 100 consecutive subjects [mean (SD) age 26 (8) years] presenting with acute ACL injury prospectively. The initial treatment in all subjects was knee rehabilitation without reconstructive surgery. The subjects were examined with Lachman's and pivot-shift tests at baseline, 6 weeks, 3 months, 1 year, 3 years and 15 years after the injury. Sagittal knee laxity was also evaluated with the KT-1000 arthrometer at the 15-year follow-up. During follow-up, 22 subjects were ACL reconstructed due to unacceptable knee instability. There was only a mild remaining knee laxity [median Lachman grade and pivot-shift test value of 1 on a 4-grade scale (0-3)] after 15 years in subjects treated without primary ACL reconstruction. Knees with higher anterior sagittal knee laxity 3 months after the injury had a worse long-term outcome with respect to meniscal injuries and knee OA development. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1665740
- author
- Neuman, Paul LU ; Kostogiannis, Ioannis LU ; Fridén, Thomas LU ; Roos, Harald LU ; Dahlberg, Leif LU and Englund, Martin LU
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Medicine & Science in Sports
- volume
- 22
- pages
- 156 - 163
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000301288100003
- pmid:20673249
- scopus:84858242239
- pmid:20673249
- ISSN
- 1600-0838
- DOI
- 10.1111/j.1600-0838.2010.01157.x
- language
- English
- LU publication?
- yes
- id
- eb3d1103-8156-4f91-a8c0-f95fca22d29f (old id 1665740)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20673249?dopt=Abstract
- date added to LUP
- 2016-04-04 09:08:19
- date last changed
- 2022-02-20 23:22:25
@article{eb3d1103-8156-4f91-a8c0-f95fca22d29f, abstract = {{There is limited knowledge of knee laxity in the long term after a complete anterior cruciate ligament (ACL) tear treated without ACL reconstruction. The aim of this study was (1) to describe the clinical course of knee laxity after a complete ACL tear over 15 years, and (2) to study the association between knee laxity and meniscal injuries and the development of knee osteoarthritis (OA). We studied 100 consecutive subjects [mean (SD) age 26 (8) years] presenting with acute ACL injury prospectively. The initial treatment in all subjects was knee rehabilitation without reconstructive surgery. The subjects were examined with Lachman's and pivot-shift tests at baseline, 6 weeks, 3 months, 1 year, 3 years and 15 years after the injury. Sagittal knee laxity was also evaluated with the KT-1000 arthrometer at the 15-year follow-up. During follow-up, 22 subjects were ACL reconstructed due to unacceptable knee instability. There was only a mild remaining knee laxity [median Lachman grade and pivot-shift test value of 1 on a 4-grade scale (0-3)] after 15 years in subjects treated without primary ACL reconstruction. Knees with higher anterior sagittal knee laxity 3 months after the injury had a worse long-term outcome with respect to meniscal injuries and knee OA development.}}, author = {{Neuman, Paul and Kostogiannis, Ioannis and Fridén, Thomas and Roos, Harald and Dahlberg, Leif and Englund, Martin}}, issn = {{1600-0838}}, language = {{eng}}, pages = {{156--163}}, publisher = {{Wiley-Blackwell}}, series = {{Scandinavian Journal of Medicine & Science in Sports}}, title = {{Knee laxity after complete anterior cruciate ligament tear: a prospective study over 15 years.}}, url = {{http://dx.doi.org/10.1111/j.1600-0838.2010.01157.x}}, doi = {{10.1111/j.1600-0838.2010.01157.x}}, volume = {{22}}, year = {{2012}}, }